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Highlights include:

August 10-11, 2016

Keller Convention Center · Effingham

Illinois Rural Health Association 27th Annual Educational Conference

Sharing Solutions for Success

Beyond ICD-10

Cyber Security

Federal Health Policy Update

HIPAA Risk Analysis

Public Health Trends

Rural Health Clinic Compliance Tools

...and much more!

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STUDENT & RECENT GRAD CONFERENCE SCHOLARSHIPS AVAILABLE! DOWNLOAD APPLICATION @ www.ilruralhalth.org

Wednesday, August 10

11:00 A.M. -1:00 P.M. Box Lunch and Registration—Exhibiter Time 1:00 P.M. Conference Opening Session—Annual Meeting & Federal Rural Health Policy Update 2:10-3:00 P.M. Concurrent Sessions A

15 Minute break with exhibitors

3:15-4:05 P.M. Concurrent Sessions B

15 Minute break with exhibitors

4:20-5:10 P.M. Concurrent-Sessions C

6:30-8:00 P.M. Welcoming Reception – Firefly Grill 8:30-11:30 P.M. After-Hours Social with Cosmic Bowling at Entertainment Center adjacent to Convention Center sponsored by Gibson Area Hospital & Health Services Thursday, August 11 8:00 A.M. Breakfast and Exhibitors 9:00-9:50 A.M. Session D—General Session—Moving Beyond ICD-10

9:50-10:05 A.M. Final Time with Exhibitors

10:05-10:55 A.M. Concurrent Sessions E

11:10 A.M.-Noon Concurrent Sessions F

Noon Lunch & Health Care Award Presentations

1:30-2:20 P.M. Concurrent Sessions G

2:35-3:25 P.M. Session H—General Session—Cyber Crime in Healthcare

3:20 P.M. Wrap Up and Prize Drawings

All attendees and exhibiters invited to all meals and receptions.

Approval pending for Continuing Education Credit for AAPC, ACHE, professional counseling & social work

$99 Hotel room rate at Holiday Inn till July 26th 217-540-7777

Schedule at a Glance

Illinois Rural Health Association

Phone: (217) 280-0206• Fax: (630) 908-7311

www.ilruralhealth.org • staff@ilruralhealth.org

9211 Waterfall Glen Blvd.

Darien, IL 60561 www.ilruralhealth.org

(217) 280-0206 · (828) 222-2067 fax

IRHA ANNUAL EDUCATIONAL CONFERENCE AUGUST 10-11, 2016

KELLER CONVENTION CENTER – EFFINGHAM, IL Name: _____________________________________ Organization: _____________________________________ Address: ____________________________________________________________________________________ Phone: ____________________________________ Email: ___________________________________________ Credit Card #: ______________________________________________ Expiration Date: ___________________

Signature: __________________________________________________ Check enclosed: □ ____ Gold Sponsor: $6,000 - Umbrella/Tote Bag Sponsor includes choice of logo on umbrella or tote bag for each participant. Booth, announcement at opening and closing sessions, full page program ad, 5 registrations/5 annual memberships, name on welcoming banner, website/newsletter recognition. ____ Silver Sponsor: $3,000 - Meal Sponsor includes signage and announcement at meal, booth, 3 conference registrations/3 annual memberships, full page program ad, and website and newsletter recognition. ____ Bronze Sponsor $1,500 - Break Sponsor includes booth - 3 conference registrations/3 annual memberships, year memberships, signage at breaks, ½ page program ad, and website/newsletter recognition. ______Patron Sponsor - $1,000 - Includes booth, 3 conference registrations/annual memberships, ½ page program ad and program/website/newsletter recognition ____ For Profit -Vendor: $700 ($600 if only one attendee) - Includes booth and 2 registrations, 2 annual memberships, program/website/newsletter recognition. ____ Non-for profit Vendor - $500 - Includes booth, 1 registration/ annual membership and program recognition. Ad book: _____$500 Full Page Ad _____$250 Half Page

_____ Individual Registration-Member: $185 _____ Non-Member: $240 (incudes 12 month membership) _____ Student: $50* (Student conference scholarships available through AHEC, download application at www.ilruralhealth.org. Includes hotel, mileage voucher and conference fees.) TUDENT & RECENT GRAD CONFERENCE

$99 Hotel room discount at Effingham Holiday Inn 217-540-7777 till July 26th.

11:30 A.M. – Box Lunch and Registration – Exhibitor Time* 1:00 P.M. – Conference Opening Session – Annual Meeting &

Federal Rural Health Policy Update by Diane Calmus, Government Affair Manager for the National Rural Health Association

A-1 Best Practices for Avoiding Common Deficiencies in a Rural Health Clinics Kate Hill, RN, The Compliance Team, Inc.

Clinic audience members will learn the most commonly seen compliance deficiencies in the rural health clinic. Numerous photos will be used to illustrate both the many obvious and other more latent compliance deficiencies to be found with a practiced eye. Detailed descriptions of methods for avoiding these deficiencies will be presented. Additionally, the audience will come away with a number of specific ideas for integrating compliance concerns into their everyday best practices to assure ongoing control of these issues. A-2 Meeting the Health and Behavioral Health Workforce Needs for Providing Care to Rural Older Adults and Caregivers Elaine Jurkowski, MSW, PhD, SIU School of Social Work

This panel will present: 1) An overview of the epidemiology of aging and the dramatic population

changes occurring in rural Illinois by 2030; 2) Service delivery for the rural older adult population: the

Community Care program, and needs in service delivery; 3) Challenges for primary care providers

when caring for rural older adults; 4) Interprofessional collaboration; 5) The Geriatric Workforce

Enhancement Program grant educational modules, health ambassador program, and best practice

models; and 6) Building a geriatric workforce in rural Illinois.

A-3 Aligning Providers and Hospital Interests during the Transition from Volume to Value-Based Practices in Rural Illinois Gregg Davis, Chief Medical Officer, MD, MBA, FAAPF, Illinois Rural Community Care Organization, LLC

A changing medical economic climate has created new stressors on provider-hospital relationships. The

historical medical business model was based on the volume of services delivered to patients. Value has

replaced volume as the key element of the evolving model. The Illinois Rural Community Care

Organization, LLC (IRCCO) was established in 2014 as a statewide rural accountable care organization

under the auspices of the Illinois Critical Access Hospital Network. IRCCO was charged with the

facilitation of this transformation among 24 rural Illinois hospitals. This presentation will explore the

changing market forces, methods to create value, and new metrics necessary to align the interests of

providers and hospitals.

*15-Minute Break and Exhibitor Time Between Afternoon Sessions

Wednesday, August 10

2:10-3:00 P.M. Concurrent Sessions A

B-1 Health Clinic Policy and Procedure Manual: The Necessary Elements Julie Quinn, BA, CPA, Health Services Associates

The presentation will outline the eight required sections for a compliant Rural Health Clinic (RHC) Policy & Procedure manual with a crosswalk to the corresponding regulations. Each section will be discussed with the participants gaining an understanding of the necessary policies and procedures for compliance with the RHC regulations. B-2 80% by 2018 – Colon Cancer Screening is a Public Health Priority Caleb Nehring, American Cancer Society Angie Bailey, MPH, MSEd, CHES Community Benefits Manager, Southern Illinois Healthcare Brooke Miller, MPAS, PA-C Clinical Coordinator/Assistant Professor Family & Community Medicine, SIU School of Medicine Physician Assistant Program Linda Schulz Health Systems Manager, Hospitals, American Cancer Society

Using the National Colorectal Cancer Roundtable’s Strategic Plan as a guide, much progress has been made in southern Illinois related to colon cancer early detection. Research recently reported that across the U.S. colon cancer deaths are on the decline. However, in three parts of the country, including many counties in southern Illinois, deaths are constant or rising. The Jackson County Cancer Action Team is newly formed and taking this issue head on. Join us to learn what players are critical in this process, hear progress that has been made, and take best practices back to your community. B-3 Multiple Chronic Conditions (MCC) Maria E. J. Kuhn, MS, Clinical Director of IHAP Program

Rural healthcare professionals are looking for innovative ways to control health care costs without

terminating long-standing benefits. The Integrated Health Advocacy Program® (IHAP®) is a health

management program that uses an evidence-based, multidisciplinary team approach to enable

individuals with multiple, complex conditions improve their health and quality of life. IHAP integrates a

person’s various health care needs into a comprehensive, individualized whole-person treatment plan

and encourages a transition from passive “patient” to responsible and effective consumers of health

care services. By addressing the needs of the most critical population, IHAP helps organizations

mitigate rising health care costs and future liabilities.

Wednesday, August 10 (Continued)

3:15-4:05 P.M. • Concurrent Sessions B

C-1 Ask the Experts: Rural Health Clinic Roundtables Julie Quinn, VP of Cost Reporter and Provider for Health Services Associates, Kate Hill, VP of Clinical

Services for the Compliance Team, and Gary Lucas, VP of the Association of Rural Health

Professional Coders

Expert moderators will be on hand to facilitate informal discussions on many of your most frequent questions about opening and running a sustainable Rural Health Clinic. C-2 — Telehealth Panel Discussion Telemedicine and Mobile Apps: Opportunities and Challenges Claire Reed, JD Partner at Barnes & Thornburg, LLC, Specialist in Healthcare Law Telemedicine offers promising opportunites for providing medical care at a distance, but it also reaises a number of legal and regulatory issues for health care providers. As with telemedicine, governmental authorities are developing approaches to appropriately regulate mobile apps. In this program, we will provide an overview of the current regulatory landscape for telehealth and mobile apps. Improving Rural Patient Care with Telepharmacy Greg Janes, MBA, TelePharm

This presentation will describe why telepharmacy started, how it has evolved with technology, and help the audience understand the current regulatory environment. It will also explain how telepharmacy is being used to provide better patient care, especially in rural areas. Telehealth in a Value Based Purchasing Healthcare Delivery World Becky Sanders, BS, MBA, Upper Midwest Telehealth Resource Center

This presenation will discuss the financial and quality motivations that are driving providers into telehealth, The session will include an interactive discussion where leaners can ask questions and learn about the free resources available through the National Consortium of Telehealth Resource Centers. C-3 Case Study: The Impact of On Demand Molecular Testing in a Rural Health Setting Deidre Jarrett, BS, MT (ASCP), Cepheid

advances in molecular diagnostics have provided platforms that can be used in a variety of laboratory settings allowing users to shorten the turnaround of results from days to hours. In this case study presentation, we will review the implementation of on demand molecular testing in a rural community hospital and discuss the clinical, operational, and financial impact.

Wednesday, August 10 (Continued)

4:20-5:10 P.M. • Concurrent Sessions C

IRHA 27th Annual Educational Conference Welcoming Reception

Wednesday, August 10 6:30-8:00 P.M.

1810 Avenue of Mid-America, Effingham Just west of the Convention Center, across Route 32

Sponsored by:

8:00 A.M. – Breakfast and Exhibitors

Moving Beyond ICD-10: Tying Together Clinical Documentation, Coding, and Billing

Gary Lucas, Masters Healthcare Informatics, CPC, CPC-I, AHIMA, ICD-10 Ambassador Association of

Rural Healthcare Coding (ARHPC)

With the April 2016 requirement by CMS to require RHCs to provide HCPCS code-level detail (CPT and

HCPCS-2) – it has never been more important to make sure you are documenting and coding for 100%

of what is done. Billing is not supposed to change – but if you aren’t documenting and coding

correctly, revenue may be left on the table! We will present a high-level review of the AMA’s 2016 CPT

Professional Edition, HCPCS-2 code manual, and the ICD-10-CM from the perspective of rural health

focusing on the services typically provided by RHCs and other rural facilities.

9:50 to 10:05 A.M.– Final time with Exhibitors

E-1

Funding Rural Healthcare Telecom Needs: The Universal Service Fund

Natalie Verette, TeleQuality Communications

As demand for health IT efforts continues to rise because of electronic health records (EHR),

Meaningful Use, telehealth and telemedicine, telecom networks have and will continue to become an

integral part of a healthcare organization’s core infrastructure in delivering quality patient care. In this

presentation, TeleQuality Communications will present what role telecom networks and broadband

speeds play in not only rural healthcare organizations but also in all telehealth services, and how those

rural health care providers can upgrade their network infrastructure with funding assistance through

the Universal Service Fund’s Rural Healthcare Program.

E-2

Rural Health Clinic Cost Reporting: Compliance and Revenue Maximization Strategies

Julie Quinn, BA, CPA, Health Services Associates

This presentation will focus on compliance and revenue maximization strategies including:

Commingling rules, what are they and how to comply? What is sequestration and how does it affect

me? Cost classifications to maximize your rate. Methods for reclassification of non-RHC cost.

Common issues/calculations the instructions won't tell you about. PS&R crosswalk. Bad debt

overview.

9:00—9:50 A.M. • Concurrent Sessions D

Thursday, August 11

10:05—10:55 A.M. • Concurrent Sessions E

E-3

Leveraging Economies of Scale with a Multi-Stakeholder Rural and Urban Telehealth Network

Gurpreet Mander, MD, MBA, CPE, FAAP, Chief Medical Officer, HSHS St. John’s Hospital

This panel discussion will detail the strategies and opportunities of the Illinois Telehealth Network

(ITN), a collaborative consortium model that requires collective action to be conducted by the resource

users themselves. ITN is supported by more than $1M in active grants and is comprised of 23 mostly

rural stakeholders to explore, plan and launch applications like ED telestroke, heart failure telehealth

remote monitoring, virtual urgent care and others. Presentation will share how this model coordinates

care, creates economies of scale to reduce costs, uses shared clinical protocols to achieve efficiencies,

and expands access to specialist care for patients in underserved rural areas.

F-1

Strategy Mapping – Visualizing Your Patient Service Area for More Effective Healthcare Delivery

Les Jebson, FACHE, FACMPE, SIU School of Medicine

This unique and engaging presentation walks attendees through several publicly available internet re-

sources on healthcare and population health metrics for the Illinois market. This immersive session

provides participants with real world resources and techniques for creating a visual map of their pa-

tient service areas. Internet Information/analysis can then can be utilized by both hospital boards and

senior leadership to develop more insightful proposals and actionable steps for optimal utilization of

limited labor and facility resources.

F-2

New Provisions for Increasing Access to Dental Care: Public Health Supervision for Hygienists

Sherri Lukes, RDH, MS, FAADH, Illinois Dental Hygienists’ Association

Access to dental services continues to be challenging for underserved populations. Recent legislation in

Illinois has expanded the dental practice act to allow for public health supervision by dental hygienists.

As a result of this legislation, hygienists in certain public health settings will be able to provide preven-

tive dental services without a prior examination by the dentist. The dental examination prior to deliv-

ery of preventive care restricted access in schools, community health centers, public health depart-

ments, etc. A referral to the collaborating dentist will follow all preventive services. This session will

explain how this new provision can increase capacity of public health facilities and provide access to

care for more underserved clients.

Thursday, August 11 (continued)

10:05—10:55 A.M. • Concurrent Sessions E

11:10—12:00 P.M. • Concurrent Sessions F

F-2 (Continued)

Engaging Rural Dental Clinics in Cardiovascular Disease Prevention

Derek Hersch, MPH (In Progress), BS, Minneapolis Heart Institute Foundation

To expand heart disease prevention efforts within New Ulm, Minnesota, we engaged dental clinics to

assess how they were addressing patients’ tobacco use and sugar-sweetened beverage consumption.

Clinic and provider surveys were distributed as baseline and follow-up to assess policies and counseling

practices. A patient-centered resource guide was developed and distributed to participating clinics, and

a continuing education event was hosted to inform dental providers of relevant counseling and referral

practices. Results identified a need to improve the assessment process and indicate there is room for

improvement to increase self-efficacy among providers.

F-3

Clostridium Difficile (What’s the scoop on that poop?)

Kristi Smith, RN, BSN, HSHS St. Anthony’s Memorial Hospital

Many patients arrive in the long term care setting or at physician’s offices with c-diff or develop c-diff

during their long term care stay. Colleagues do not always understand their role and in c-diff

prevention, treatment, and implement proper precautions to prevent the spread of the disease.

Nursing colleagues will recognize the signs and symptoms of c-diff, will institute proper precautions to

prevent the spread of the disease, and will communicate with the physician regarding treatment and

prevention.

12:00 – Lunch & Health Care Award Presentations

G-1 Case Study HIPAA Assessment –Creating a HIPAA Compliance Culture Rob Himes, Himes Consulting Group Cindy Palmer, CEO Colorado Choice Health Plans

The attendees will hear the real life events of how a Rural Health Plan tackled the challenges of a

HIPAA Risk Assessment as a proactive step in assessing the overall cultural impacts of HIPAA on the

organization. The discussion will focus on how an initial assessment is valuable in highlighting specific

exposure areas along with the corresponding process impacts these exposures may have on each

function. The presentation will center on the HIPAA Risk Assessment that was conducted at Colorado

Choice Health Plan, a Rural HMO, which is a part of the Exchange for Colorado.

Thursday, August 11 (continued)

1:30—2:20 P.M. • Concurrent Sessions G

11:10 A.M.—12:00 P.M. • Concurrent Sessions F

G-2

Senior Living and Hospitals: Partnerships in Rural Communities

Brett Murphy, Lancaster Pollard

Senior housing investment opportunities, both new development and acquisitions, present a unique

opportunity for Critical Access Hospital (CAH) leadership teams to increase and diversify their hospital’s

revenue stream. Such investments can be pursued in conjunction with proven senior housing

operators, enabling hospitals to meet the needs of their market area’s aging population and realize a

compelling return on investment without going beyond a CAH leadership team’s core competencies.

Further, there exist several options to fund these projects non-recourse to the hospital with minimal

equity, low interest rates and long term/amortizations. This presentation will detail the opportunity

from both a financing and architectural/design perspective.

H-1

Social Engineering and Cyber Crimes in Healthcare

Sarah Badahman, BS, MPH, HIPAAtrek

It used to be believed that social engineering was reserved for governments and corporate spying;

however, it is becoming more main stream and is the second largest cybercrime affecting the

healthcare industry. Health professionals are nurturers by nature – social engineers are capitalizing on

this nature to gain access to health records and networks. The purpose of this presentation is give

participants an understanding of what social engineering is, how to recognize a potential attack, how

to prevent an attack, as well as how to respond in the event a social engineering attack is successful.

3:20 P.M. - Wrap-Up and Prize Drawings

1:30—2:20 P.M. • Concurrent Sessions G

Thursday, August 11 (continued)

2:35—3:25 P.M. • Session H

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